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Images in cardiology
Apparent induction of ventricular tachycardia after “appropriate pacing” by an implantable dual chamber defibrillator: confusing ICD electrograms
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A 38 year old man with a recent large anterior wall myocardial infarction had sustained monomorphic ventricular tachycardia with a rate of 142 beats/min causing palpitations and signs of congestive heart failure. A Biotronik Phylax AV dual chamber defibrillator (ICD) (Biotronik, Berlin, Germany) with a Kainox RV 75 electrode (Biotronik, Berlin, Germany) and a Medtronic model 4568 electrode (Medtronic Inc, Minneapolis, Minneapolis, …